Organization · Type 2 NPI

Monticello Podiatry LLC

Primary Podiatric Medicine Podiatrist · West Lafayette, IN

NPI number 1508510447 Active

Practice location

1281 Win Hentschel Blvd Ste 1579
West Lafayette, IN 47906-4357

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist Primary 213EP1101XNone listed

Primary Podiatric Medicine Podiatrist: Definition to come...

About NPI 1508510447

Monticello Podiatry LLC's National Provider Identifier is 1508510447, issued on Feb 9, 2022. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in West Lafayette, IN. The record was last updated on Feb 9, 2022.